Active NPI
Ibis Marie Rivera, PHD
- Psychologist
- Canovanas, PR
National Provider Identifier
1306753934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 8258
- Practice address
- Calle Palmer #8 Local #3
Canovanas, PR 00729 - Phone
- (787) 328-6541
- NPI assigned
- Aug 27, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 8258 | PR | |
| Psychologist | 103T00000X | 8258 | PR | Primary |
Addresses
Primary practice location
Calle Palmer #8 Local #3
Canovanas, PR 00729
Mailing address
28 Calle Hortencia
Carolina, PR 00987-2203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1306753934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 CALLE HORTENCIA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009872203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE PALMER #8 LOCAL #3",
"city": "CANOVANAS",
"state": "PR",
"postal_code": "00729",
"telephone_number": "787-328-6541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "IBIS",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-27",
"last_updated": "2026-08-27",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "8258",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "8258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canovanas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.